Can a doctor turn a breech baby?

Is turning a breech baby painful?

To turn your baby, your doctor will use firm pressure. Everyone reacts differently, so you might feel discomfort or pain. Many women go through an ECV without any painkillers. But your doctor may give you an epidural or other pain medication or even put you to sleep during the procedure.

Can a doctor turn a breech baby during labor?

A doctor can try to turn a breech birth either before or during labor. However, if this is unsuccessful, a doctor will order a C-section delivery. While breech births are not common — affecting about 4% of pregnancies — they can be fatal for the baby and therefore are taken very seriously.

How successful is turning a breech baby?

The average success rate for turning a baby out of the breech position was 58%. The overall complication rate was 6%, and the rate of serious complications (placenta abruption or stillbirth) was 0.24%.

How late can breech babies turn?

Most babies that are breech will naturally turn by about 36 to 37 weeks so that their head is facing downwards in preparation for birth, but sometimes this does not happen. Around three to four babies in every 100 remain breech.

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Is ECV procedure painful?

To perform an external cephalic version (ECV), the doctor needs to apply firm, steady pressure over the distended belly. Hence, a moderate amount of pain is felt during the procedure, which is tolerated by most women.

Can ECV be done during labor?

Version is done most often before labor begins, typically around 37 weeks. Version is sometimes used during labor before the amniotic sac has ruptured.

What happens if you go into labor and baby is breech?

As the baby’s buttocks and legs move down into the birth canal, the cord can get squeezed, slowing the baby’s supply of oxygen and blood. This is a risk for patients with a baby in the breech position and a dilated cervix, who go into labor or break their membranes.

How do doctors manually turn a breech baby?

External cephalic version (ECV) ECV is one way to turn a baby from breech position to head down position while it’s still in the uterus. It involves the doctor applying pressure to your stomach to turn the baby from the outside. Sometimes, they use ultrasound as well.

Is it worth trying an ECV?

While ECVs are considered a safe option for some, the risks may not outweigh the benefits for others. Most providers will not perform an ECV before full term for a couple reasons. One, it could cause labor to begin or delivery could become necessary. Two, many babies turn on their own before being full-term.

What is the success rate of ECV?

External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of about 65 percent.

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